| NPI | 1326665258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VT 091.0134046) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP3985) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2023-08-03 |